Organization · Type 2 NPI

Gary Fishbein DMD LLC

Oral and Maxillofacial Surgery (Dentist) · Vernon, CT

NPI number 1629595145 Active

Practice location

281 Hartford Tpke Ste 307
Vernon, CT 06066-4707

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	11333 (CT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

NPI record

NPI: 1629595145
Entity type: Organization (Type 2)
Issued: Aug 25, 2017
Last updated: Aug 25, 2017
Status: Active

Other names

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East of the River Oral and Maxillofacial Surgery · doing business as

Authorized official

Dr. Gary Todd Fishbein, DMD
Oral and Maxillofacial Surgeon
(860) 872-8331

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About NPI 1629595145

Gary Fishbein DMD LLC's National Provider Identifier is 1629595145, issued on Aug 25, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Vernon, CT. The record was last updated on Aug 25, 2017.